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Table 1 Modified Ramsay sedation scores (RSS) (Rasheed et al., 2019)

From: Comparative study between intranasal dexmedetomidine and intranasal ketamine as a premedication for anxiolysis and sedation before pediatric general anesthesia

Level 1

Patient awake, anxious and agitated or restless, or both

Level 2

Patient awake, cooperative, oriented, and tranquil

Level 3

Patient awake, responds to commands only

Level 4

Patient asleep, brisk response to light glabellar tap or loud auditory stimulus

Level 5

Patient asleep, sluggish response to light glabellar tap or loud auditory stimulus

Level 6

Patient asleep, no response to light glabellar tap or loud auditory stimulus